The Roy W. Piper Charitable Trust. CAREER TECHNOLOGY EDUCATIONAL SCHOLARSHIP Availability Notice, Application & Criteria

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1 The Roy W. Piper Charitable Trust CAREER TECHNOLOGY EDUCATIONAL SCHOLARSHIP Availability Notice, Application & Criteria For High School Seniors & Matriculated Students

2 CAREER TECHNOLOGY SCHOLARSHIP AVAILABILTY NOTICE THE ROY W. PIPER CHARITABLE TRUST SCHOLARSHIP The Roy W. Piper Charitable Trust, Tunkhannock, Pa. in addition to the Trust s annually renewable academic scholarship, a 2 year or less Career Technology scholarship program for students wishing to earn an Associate s Degree, an Accredited Certificate or to receive license preparation. This scholarship is meant to help students that want to enter various fields such as but not limited to: Accounting, Automotive, Business/IT, Computer Sciences, Cosmetology, Culinary, Health Sciences, Skilled Trades, Truck Driving, etc. Principal preference will be given to Wyoming, Lackawanna and Luzerne County students. Scholarships are based upon a combination of financial need, academic merit and community service/extra-curricular activities, and are to be used for education at an accredited post-secondary educational institution. Application packages can be obtained from the student s high school guidance departments within the above counties or by request to piperscholarship@frontier.com. (Denote Application request in the subject line and note code ST ). All forms from the trust will be ed to the applicant All completed applications must be received by the Trust by March 15, 2018 By writing: P.O. Box 460, Tunkhannock, Pennsylvania By faxing: An address must be provided in order to be forwarded an application package. 2.

3 CRITERIA THE ROY W. PIPER CHARITALBE TRUST CAREER TECHNOLOGY SCHOLARSHIP The Roy W. Piper Scholarships are administered through the Roy W. Piper Trust Scholarship Administrators (Ronald G. Kukuchka, Thomas P. Tulaney, Robert P. Browning, and William A. Petty). One (1) application can be requested from the Trust or from the student s school guidance office. The Roy W. Piper Charitable Trust will accept applications by mail, addressed to: P.O. Box 460, Tunkhannock, Pennsylvania Only fully completed, hard copy applications will be accepted. Electronic submissions will not be accepted. The following criteria apply to Scholarships which will be awarded for the Academic Year , which will be administered in a fair and impartial manner, without discrimination in favor of, or against, any applicant or class of applicants for any reason except for the financial qualification discussed below. No restrictions or limitations in the scholarship selection process will be based on race, color, national origin, religion, gender, age, disability or sexual orientation of an applicant. 1. No scholarship will be awarded to a student who was or is related by blood or marriage to Roy W. Piper, or to any of the Trustees, or to any of the Scholarship Administrators, or to any replacements for them. A disqualifying relationship would include any children or other issue of a trustee or Scholarship Administrator, or of Roy W. Piper, or to any brother or sister of Roy W. Piper, a Trustee or a Scholarship Administrator, or any of their issue, whether of the whole blood, or half blood, or any adoptive or foster children in such relationship. 2. Nothing prohibits the Scholarship Administrators from awarding more than one scholarship in any year to students at, or graduates from, the same high school. 3. As originally constituted, scholarships are awarded to students who have matriculated, at: a) Keystone College; b) An accredited, secondary or post-secondary military-related school, college or university; and c) Any other accredited school, college or university chosen by the applicant. 4. If qualified applicants are identified, one or more scholarships will be awarded to students who will matriculate, or have matriculated, at any school or any post-secondary educational institution chosen by the applicant. 5. A scholarship may be awarded each year to a qualified applicant who has satisfied the academic criteria for admission to, and who will attend, or is attending, any school or any post-secondary educational institution chosen by the applicant. The scholarship will be renewed on an annual basis for up to two years, so long as the recipient continues to meet the qualifications established. A renewed scholarship shall be considered to be the scholarship for that year. If the academic criteria are not met, the scholarship will be terminated, and a scholarship may be awarded to a different qualified applicant. 3.

4 6. For any applicant still in high school, the minimum academic qualification, certified by the high school guidance department, is a cumulative C average (a 2.0 on a 4.0 system) through the first term of the student s senior year in high school. 7. For any Applicant who has already matriculated at a qualifying academic institution, the minimum academic qualification, established by the grade report from the academic institution, certified by the appropriate office of the institution, is a cumulative average, through the last completed semester or term of 2.0 on a 4.0 system, or the equivalent. 8. The amount of the scholarship award shall be in the discretion of the Scholarship Administrators. The scholarship is provided on an annually renewable basis, not in excess of the following, as charged by the recipient s academic institution; semester tuition, academic/enrollment-related fees, and on-campus only room and board, to include campus meal plan (commuter or noncommuter). Fees for books, supplies, parking, off- campus housing and board and or expenses, and memberships will not be considered. It is the recipient s responsibility to correctly report on their tax return if they have used any of those funds for non-qualified expenses. The scholarship is in excess of any other amounts awarded to the applicant by the college, university or school including merit-based or need based scholarships or grants or awards not required to be repaid by the applicant, provided that the payment for such items, other than tuition, shall only be awarded if the granting of such payments do not cause the award to be considered taxable to the Trust. 9. Applications will be accepted and considered from applicants who have matriculated at a qualifying institution and who are otherwise qualified. 10. The amount of the scholarship award will be based will be based on a combination of factors as displayed by a complete application, including community involvement, extra-curricular activities, and merit and financial need. The amount is determined after the college or university has awarded needs-based and merit scholarships, and after federal and state entitlements and community awards have been applied. 11. Awards will only be made to applicants who are members of a family with a combined household income of less than $90,000. The combined household income will be that of the applicant, the applicant s parents or legal guardians and anyone who has legal obligation to support the applicant. This Adjusted Gross income amount is found on line 37 of the federal tax return a) Depreciation expense reported on an income tax return will not be used to calculate the income limitation; provided that so-called Sections 179 deductions, as provided by the Internal Revenue Code of 1986, as amended, will be added back to the adjusted gross income for determining the income limitation. b) Each student who is determined by the Scholarship Administration to be a finalist in the selection process shall be required to submit copies of signed federal income tax returns for the two fiscal years immediately preceding the date of the application from the applicant and the applicant s parent or parents or legal guardians, and from any person who has legal obligation to provide financial support to the applicant, whether or not such person resides in the same home as the applicant. 4.

5 c) The amount of limiting income shall be adjusted; 1. If the parent has an additional child currently enrolled in qualifying educational institution to $100,000; and 2. If the parent has two or more additional children currently enrolled in qualified educational institutions to $110,000. d) Post applications events, such as death or loss of employment, subsequent to the applicable immediately preceding fiscal year may be considered. 12. Applications for scholarships for the expenses and or tuition for a graduate degree will not be accepted. 13. All scholarship payments to recipients will be distributed on a semester or term basis, conditioned upon timely receipt by the Trust, of the following; a) Proof of matriculation from school or academic institution, to include a registered transcript indicating current enrollment and grade report from previous semester, including course grades with semester/term and cumulative GPA s. b) A copy of the semester/term invoice displaying school s name and address, student s name, semester tuition, academic enrollment, related fees, on-campus only room and board and related fees, and/or commuter/non-commuter meal plan, and, c) A brief of prior semester/term community service completed. It is recognized that it is the recipient s responsibility to be sure the above items are received by the Trust following the end of one semester and prior to the start of the next semester. 14. Amounts of the scholarship payments to recipients will not be determined until the recipient provides an invoice from the school or academic institution showing the balance remaining to be paid after application of other scholarships and other awards, to include, but not limited to, state and federal grants, one-time or 1 st year community or other awards. 15. All scholarship funds shall be paid by checks drawn jointly to the scholarship recipient and the school or academic institution which the recipient attends, and the Trustees shall secure the agreement of the academic institution to use the funds only to pay tuition and room and board, and to provide funds for the purposes for which the scholarship is granted, and only so long as the recipient attends the academic institution. The academic institution shall agree in advance to refund the scholarship funds to the extent that they are not used for the stated purpose of the scholarship. 16. For a scholarship recipient, the minimum academic qualification for the renewal of the scholarship, established by a grade report from the academic institution, certified by the appropriate office of the institution, is a GPA ending each individual academic year with a 2.0 for the year 1 on a 4.0 system or the equivalent. 17. Only signed, hard copies of such grade reports will be accepted; electronically transmitted reports are not acceptable. 18. The Scholarship Administrators shall be entitled to consider circumstances, such as illness or family emergency, which might have contributed to a failure to meet the academic qualifications. 5.

6 19. If any scholarship recipient is determined not to have met the qualifications (academic or good citizenship), during the preceding year, for the renewal of a scholarship, the Scholarship Administrators shall recommend to the Trustees of the Trust to seek reimbursement from the recipient and the recipient shall repay the same to the Trust. The recipient will sign an agreement to that effect at the time of granting the scholarship. 20. Each scholarship recipient shall cause the school or academic institution which he or she attends to report, on or prior to May 30 th at the end of the first year, on the recipients continuing enrollment and the academic status for the preceding year. 6.

7 THE ROY W. PIPER CHARITABLE TRUST CAREER TECHNOLOGY SCHOLARSHIP APPLICATION Before Completing & Submitting Application: Review the Trust s criteria for awarding Scholarships which are attached and available from the Guidance Office of your school. If none are available, please contact The Roy W. Piper Charitable Trust (see attached Available Notice for the contact information). You must provide and address so that the forms can be forwarded to you electronically. No forms will be mailed. Deadline: The Completed application and all supporting data must be received by the trust at the below address on or prior to Thursday, March 15, Mail the Application & all Supporting Data to: The Roy W. Piper Charitable Trust P.O. Box 460 Tunkhannock, Pa Important Notes: The following will not be accepted: 1. Electronically- submitted and/or faxed applications. 2. Stapled applications (paperclip only). 3. Double- sided copy applications (single-sided sheets only). One or more scholarships will be awarded, if qualified applicants are identified, for an accredited vocational tech school, college or university of the applicant s choosing. If you are awarded a scholarship and do not matriculate at the post-secondary institution to which the application applies, the Trustees will consider the scholarship withdrawn. ** If you are applying for this scholarship and have not yet decided on a post-secondary institution, and would like the Trust to consider your application for more than one academic institution, then provide ONLY an additional College Data sheet. along with any acceptance and financial award letters, for each separate institution you wish to be considered. There is no need to duplicate any other portion of the application for the consideration of multiple schools. Each finalist, as determined by the Trustees, may be required to be part of an in-person interview process with one or more of the Scholarship Administrators in Clarks Summit or Tunkhannock, Pennsylvania. Use additional pages if necessary for this application. 7.

8 THE ROY W. PIPER CHARITABLE TRUST CAREER TECHNOLOGY SCHOLARSHIP School or College Data Submit a separate School or College Data sheet for each college you wish to be considered as part of your application. 1. Your Name, Full address (including zip code, municipality and county). Telephone & Address: 2. Name and Address of School or College/University: Yes, I have been accepted to this school. (Attach acceptance letter). No, I have not yet been accepted to this school. 3. Anticipated costs for the (full Year): Tuition & Academic fees $ On-campus room and board (including meal plan) if necessary $ 4. Has the academic institution to which this application applies awarded you scholarships or Grants (do not include loans or work opportunities). If so, what types and how much? *Attach copies of the financial award letters. 5. Have you applied for other scholarships/grants? If so, list name, monetary value per academic year and duration (ex: one-time award, multi-year award, #years). Please circle those you know you have received/been awarded. 8.

9 THE ROY W. PIPER CHARITABLE TRUST SCHOLARSHIP Personal Data Do not duplicate Personal Data or Guidance Dept. Verification for multiple school consideration. 1. Your Name: Date of Birth: Number of Siblings/Ages Age and number of siblings enrolled in academic institutions beyond secondary school: List Schools; 1. Father s Name & Occupation: Father s Address: Father s phone number & address: 2. Mother s Name & Occupation: Mother s Address: Mother s Phone Number & address: 3. Prepare and attach a resume of your work experience. 4. Prepare and attach statements of your extra-curricular activities and your community involvement. Describe how your volunteer work has impacted your community or those you have helped, with an emphasis on how volunteer efforts have influenced your life, your decisions and your future goals. 5. Scholarships are limited to students whose combined family has a combined household income not greater than $90,000 as defined in the criteria. If you are chosen as a finalist, you will be required to provide copies of the signed federal income tax returns for the past two years for you and your parents, and anyone else who has legal obligations to support you. 6. Personal Statements: (statement to be prepared on separate sheets titled and attached). a) Describe why you believe that you are qualified to further your education in the particular vocation that you are applying for. b) List and describe your community involvements/services and extra-curricular activities. 7. Attach a full Copy of your Free Application for Federal Student Aid (FAFSA). Cover page only will not be accepted. Student & Parent Adjusted Gross Income lines must be visible. 8. Attach an original copy of your official high school transcript certified by your guidance counselor (and and original grade report, if already enrolled at a post-secondary school, certified by the appropriate officer of your accredited institution). 9. Attach letters of recommendation from at least one of your teachers or professors. 9.

10 10. List two Character references (non-family members) Name & Address Telephone ( ) Name & Address Telephone ( ) 11. How did you hear about the Roy W. Piper Charitable Trust Scholarship? (Please be specific). Signature: 10.

11 THE ROY W. PIPER CHARITABLE TRUST SCHOLARSHIP Guidance Department Verification (To be completed by your guidance office counselor) Applicants Name: Name of High School: Applicant s Class Rank: of GPA: Counselor Name: Counselor Signature: Date: / / Guidance: Please also supply the following information. The Trust will utilize this information should a student from your school be awarded a Piper scholarship: Our school awards banquet/ceremony (circle appropriate) is tentatively scheduled for (date and time): / / at : AM/PM 11.

12 The Roy W. Piper Charitable Trust Scholarship Date: Application Checklist (Submit as front cover of your application) Name: High School Complete & Check: My Application is for one (1) school: (Name): Acceptance letter enclosed Financial award letter enclosed My application is for multiple schools: (List in order of your preference): Acceptance letter enclosed Financial award letter enclosed Acceptance letter enclosed Financial award letter enclosed Acceptance letter enclosed Financial award letter enclosed I have enclosed the following required items in my application package (check) College Data Sheet High School Transcript Personal Data Sheet Letters of Recommendation (2) Guidance Dept. Verification Sheet Character References (2) Resume Extra-Curricular/Community Statements Personal Statements (2) FAFSA 12.